Labor & Delivery Registered Nurse
Twin Falls, ID
Malone Healthcare - Nursing
3x12 hrs, Nights
Referral Bonus

🏥 Unit Overview

• L&D Beds/Rooms: 11 L&D rooms (also used as triage)
• C-Section Suites: 2 on-unit OR suites
• PACU Bays: 2 recovery bays
• Triage Rooms: 2 designated (4–5 triage patients/day, not including admissions)
• Postpartum Beds: 17

📊 Patient Volume

• Deliveries:
  • 5–6 per day
  • 150–180 per month
• Patient Population:
  • 30+ weeks gestation
  • Stabilize & transfer <30 weeks

👩‍⚕️ Staffing & Ratios (AWHONN Guidelines)

• Intrapartum: 1:1
• Antepartum: 1:1–3
• Postpartum/Mother-Baby: 1:3–4

📜 Required Certifications

• BLS
• ACLS
• NRP
• AWHONN Fetal Monitoring (Intermediate/Advanced) OR NCC Certification

✅ Required Experience & Skills

• Minimum 2 years L&D experience
• Some postpartum experience required
• Comfortable with:
  • High-risk patients
  • Working both L&D & Postpartum
  • Circulating in C-sections
• Epic experience preferred (recent use must be noted)
• First-time travelers accepted
• Not accepting only Critical Access Hospital experience

💉 Drips & Clinical Skills

• Titration Required: Yes
• Common drips:
  • Pitocin
  • Magnesium
  • Insulin (preferred, but trainable)

👥 Support Staff & Coverage

• Charge Nurse (no assignment unless necessary)
• Resource Nurse (when available)
• CST available 24/7
• CNAs in Postpartum (ADLs, vitals, glucose, etc.)

🩺 Provider Coverage

• OB: In-house (day), on-call (night)
• Neonatology:
  • Day: Onsite Neonatologist
  • Night: Neo APP coverage
• CRNA: 24/7 in-house
• RT: 24/7 support

🖥️ Monitoring & Systems

• EFM System: Epic (CPN), GE Connect
• Tele Techs available
• RNs must recognize rhythm changes (not primary interpreters)

🕒 Scheduling

• Shift: 7 AM – 7 PM / 7 PM – 7 AM
• Schedule posted every 6 weeks
• Block scheduling considered (not guaranteed)
• Max 5 consecutive shifts

📅 Weekend & Holiday

• Weekends:
  • Days: Every other Sat/Sun
  • Nights: Fri/Sat (as needed)
• Holidays: Rotational

🔄 Floating

• Primary: L&D and Postpartum
• May float hospital-wide for sitter shifts
• Travelers are first to float

🎽 Dress Code

• RNs: Navy Blue
• CNAs: Maroon

🎓 Orientation

• 3 days with preceptor (L&D + Postpartum)